US2003223970A9PendingUtilityA9

Methods and compounds for prevention of graft rejection

Assignee: BETH ISRAEL HOSPITAL ASS A MASPriority: Feb 28, 1992Filed: Mar 12, 2001Published: Dec 4, 2003
Est. expiryFeb 28, 2012(expired)· nominal 20-yr term from priority
C07K 14/495C07K 14/4703A61P 37/06A61K 48/00A61K 38/00C07K 14/54C07K 14/4713
47
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Claims

Abstract

Disclosed is a method of localized immunosuppression which may be used for preventing graft rejection or for preventing tissue destruction due to autoimmune disease. Also disclosed is a protein suppressor factor that is secreted by cloned anergic T-cells, blocks interleukin 2 (IL-2) stimulated T-cell proliferation, has an apparent molecular weight of between 10 and 30 kilodaltons, can be inactivated by heating to 65° C. for 15 minutes, blocks interleukin 4 (IL-4) stimulated T-cell proliferation in vitro, is non-cytotoxic to T-cells, and does not inhibit the production of IL-2 by T-cells in vitro.

Claims

exact text as granted — not AI-modified
What is claimed is:  
     
         1 . A method of inhibiting rejection of a transplanted tissue in a mammal, said method comprising the steps of 
 a) introducing into a cell, either in vivo or ex vivo, DNA encoding an immunosuppressive polypeptide, and    b) if step (a) was carried out ex vivo, transplanting said cell into said mammal    wherein expression of said polypeptide is regulated by DNA which does not naturally regulate said expression, so that said polypeptide is expressed close enough to said transplanted tissue to inhibit rejection.    
     
     
         2 . A method of inhibiting rejection of a transplanted tissue in a mammal, said method comprising the steps of 
 a) introducing into a cell, either in vivo or ex vivo, DNA encoding a glycosidase, and    b) if step (a) was carried out ex vivo, transplanting said cell into said mammal wherein expression of said glycosidase is regulated by DNA which does not naturally regulate said expression, so that said polypeptide is expressed close enough to said transplanted tissue to inhibit rejection.    
     
     
         3 . The method of  claim 1  or  claim 2  wherein said cell is a cell of an allograft.  
     
     
         4 . The method of  claim 1  or  claim 2  wherein said cell is a cell of a xenograft.  
     
     
         5 . A method of inhibiting a destructive autoimmune response in a mammal, said method comprising the steps of 
 a) introducing into a cell, either in vivo or ex vivo, DNA encoding an immunosuppressive polypeptide, and    b) if step (a) was carried out ex vivo, transplanting said cell into said mammal    wherein expression of said polypeptide is regulated by DNA which does not naturally regulate said expression, so that said polypeptide is expressed close enough to the site of said destructive autoimmune response to inhibit destruction.    
     
     
         6 . The method of  claim 5  wherein said mammal is a mammal with rheumatoid arthritis.  
     
     
         7 . The method of  claim 5  wherein said mammal has diabetes caused by an autoimmune response.  
     
     
         8 . The mammal of  claim 7 , wherein said mammal is presymptomatic.  
     
     
         9 . The method of  claim 5  wherein said mammal is a mammal with systemic lupus erythematosus.  
     
     
         10 . The method of  claim 5  wherein said mammal is a mammal with multiple sclerosis.  
     
     
         11 . The method of  claim 1 ,  2  or  claim 5  wherein said DNA encodes IL-10.  
     
     
         12 . The method of  claim 1 ,  2  or  5  wherein said DNA encodes TGF-β.  
     
     
         13 . The method of  claim 1 ,  2  or  claim 5  wherein said DNA encodes cyclosporine synthetase and said method further comprises administering to said mammal a therapeutically effective amount of a cyclosporine precursor.  
     
     
         14 . The method of  claim 1 ,  2  or  claim 5  wherein expression of said polypeptide is constitutive.  
     
     
         15 . The method of  claim 1 ,  2  or  claim 5  wherein expression of said polypeptide is inducible by a compound that stimulates an immune response.  
     
     
         16 . The method of  claim 1  or  claim 5 , said DNA further comprising nucleic acids encoding an indicible polypeptide which activates expression of said DNA encoding said immunosuppressive protein, said inducible polypeptide activating said expression in the presence of a non-toxic compound.  
     
     
         17 . The method of  claim 1 ,  2  or  5  wherein expression of said polypeptide is inducible by a compound which is tissue specific.  
     
     
         18 . The method of  claim 1 ,  2  or  claim 5 , said DNA comprising regulatory elements including a synthetic regulatory DNA sequence from at least one of NF-KB, NF-IL-6, IL-6, LRE, AP-1, p91/stat, or the IL-6 response elements.  
     
     
         19 . The method of  claim 1 ,  2  or  claim 5  wherein said introducing of said DNA is in vivo.  
     
     
         20 . The method of  claim 1 ,  2  or  claim 5  wherein said introducing of said DNA is in vitro.  
     
     
         21 . The method of  claim 1 ,  2  or  5  wherein said cell is a cell of the heart.  
     
     
         22 . The method of  claim 1 ,  2  or  5  wherein said cell is a cell of the liver.  
     
     
         23 . The method of  claim 1 ,  2  or  5  wherein said cell is a cell of the kidney.  
     
     
         24 . The method of  claim 1 ,  2  or  5  wherein said cell is a cell of the neuronal tissue.  
     
     
         25 . The method of  claim 1 ,  2  or  5  wherein said cell is a cell of the lung.  
     
     
         26 . The method of  claim 1 ,  2  or  5  wherein said cell is a cell of the pancreas.  
     
     
         27 . The method of  claim 24  wherein said cell is a cell of the central nervous system.  
     
     
         28 . The method of  claim 1 ,  2  or  5  wherein said cell is a cell of said mammal.  
     
     
         29 . The method of  claim 1 ,  2  or  5  wherein said cell is a myoblast.  
     
     
         30 . The method of  claim 1 ,  2  or  5  wherein said cell is a renal tubular epithelial cell.  
     
     
         31 . The method of  claim 1 ,  2  or  5  wherein said mammal is a human.  
     
     
         32 . A substantially pure protein characterized in that 
 it is secreted by cloned anergic T-cells,    it blocks IL-2 stimulated T-cell proliferation,    it has an apparent molecular weight of between 10 and 30 kilodaltons,    it can be inactivated by heating to 65° C. for 15 minutes,    it blocks IL-4 stimulated T-cell proliferation in vitro,    it is non-cytotoxic to T-cells, and    it does not inhibit the production of IL-2 by T-cells in vitro.    
     
     
         33 . A purified nucleic acid encoding the protein of  claim 32 .  
     
     
         34 . A method of altering the effect of IL-2 on an IL-2 receptor-bearing cell in a mammal, said method comprising 
 bringing into close proximity with said cell a second cell of said mammal which is transfected with the nucleic acid of  claim 33  so that said second cell secretes said protein.    
     
     
         35 . The method of  claim 34 , wherein said second cell is a T-cell.  
     
     
         36 . The method of  claim 34 , wherein said second cell is an endothelial cell lining a blood vessel.  
     
     
         37 . The method of  claim 34 , wherein said second cell is an epithelial cell.  
     
     
         38 . The method of  claim 37 , wherein said epithelial cell is of the proximal tubule of the kidney.  
     
     
         39 . The method of  claim 38 , wherein said epithelial cell is a gut epithelial cell.  
     
     
         40 . The method of  claim 34 , wherein said mammal is a human.  
     
     
         41 . A method of altering the effect of IL-2 on an IL-2 receptor-bearing cell in a mammal, comprising, 
 transfecting said cell with the nucleic acid of  claim 33  so that said cell secretes said protein.    
     
     
         42 . A method of altering the effect of IL-4 on an IL-4 receptor-bearing cell in a mammal, said method comprising 
 bringing into close proximity with said cell a second cell of said mammal which is transfected with the nucleic acid of  claim 33  so that said second cell secretes said protein.    
     
     
         43 . The method of  claim 42 , wherein said second cell is a T-cell.  
     
     
         44 . The method of  claim 42 , wherein said second cell is an endothelial cell lining a blood vessel.  
     
     
         45 . The method of  claim 42 , wherein said second cell is an epithelial cell.  
     
     
         46 . The method of  claim 45 , wherein said epithelial cell is of the proximal tubule of the kidney.  
     
     
         47 . The method of  claim 45 , wherein said epithelial cell is a gut epithelial cell.  
     
     
         48 . The method of  claim 42 , wherein said mammal is a human.  
     
     
         49 . A method of altering the effect of IL-4 on an IL-4 receptor-bearing cell in a mammal, said method comprising 
 transfecting said cell with the nucleic acid of  claim 33  so that said cell expresses said protein.    
     
     
         50 . A human T-cell clone characterized in that it 
 is anergic;    is dependent on recombinant human IL-2 for growth;    expresses cell surface CD8;    is non-cytolytic; and,    expresses Vβ11 T cell receptor.

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